bfp pensioners update form
DESCRIPTION
Sample formTRANSCRIPT
Republic of the PhilippinesDepartment of the Interior and Local Government
BUREAU OF FIRE PROTECTIONNATIONAL HEADQUARTERS
Agham Road, Sitio San Roque, Brgy. Bagong Pag-asa, Quezon City
PENSIONERS UPDATE FORM
Name: Retired Rank (for Uniformed Personnel) Region
Current Address:
ATM/Bank Account No. Name of Bank/Branch
Contact No./s Date of Birth
Place of Birth Civil Status Date Retired
Beneficiaries Date of Birth
Spouse:
CHILDREN ( below Eighteen (18) yrs Old Only) Date of Birth
CERTIFIED CORRECT
NHQ/Regional Chief, RBS Date
I hereby certify that the above information are trueand correct to the best of my knowledge and belief.
Right Thumbmark FOR RBAS-PMIS PROCESSOR’S USE ONLY
Date Processed
Name/Signature of Processor
Left Thumbmark
(Attach 3R (3 1/2 X 5 in.) full-body picture holdinglatest newspaper of national circulation with thedate clearly shown and two (2) valid IDs, such as
Retiree’s/Pensioner’s ID, SSS, Driver’s License,COMELEC Voter’s ID, PRC/IBP ID and Passport.)
Signature over printed name Date of Retiree / Pensioner